Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients

• Verfasst von: Luderer, Mathias [VerfasserIn]
• Verfasst von: Reinhard, Iris [VerfasserIn]
• Verfasst von: Kiefer, Falk [VerfasserIn]
• Titel: Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients
• Titelzusatz: Underreporting of ADHD symptoms in self-report scales
• Verf.angabe: Mathias Luderer, Nurcihan Kaplan-Wickel, Agnes Richter, Iris Reinhard, Falk Kiefer, Tillmann Weber
• Jahr: 2019
• Jahr des Originals: 2018
• Umfang: 7 S.
• Fussnoten: Available online 10 December 2018 ; Gesehen am 20.09.2019
• Titel Quelle: Enthalten in: Drug and alcohol dependence
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1975
• Jahr Quelle: 2019
• Band/Heft Quelle: 195(2019), Seite 52-58
• ISSN Quelle: 1879-0046
• DOI: doi:10.1016/j.drugalcdep.2018.11.020
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Addiction
• Sach-SW: ADHD
• Sach-SW: Alcohol dependence
• Sach-SW: Screening
• Sach-SW: Substance use disorder
• Sach-SW: Validity
• K10plus-PPN: 1677397918

Abstract

Background - Attention-deficit/hyperactivity disorder (ADHD) is a common comorbid disorder that is frequently overlooked in adults with alcohol use disorder (AUD). Moreover, identifying ADHD in AUD patients is time-consuming and difficult. The aim of this study was to assess the clinical utility of two self-report screening instruments for adult ADHD in AUD patients. - Methods - 404 adults seeking residential treatment for AUD were screened using the Conners’ Adult ADHD Rating Scale Screening Self-Rating (CAARS-S-SR) and the Adult ADHD Rating Scale (ASRS). Results were compared with ADHD diagnosis obtained from a stepped approach: first, a structured interview (Diagnostic Interview for ADHD in adults 2.0.; DIVA) was applied; second, probable ADHD diagnoses had to be confirmed by two expert clinicians. - Results - At the previously reported cut-off values, ASRS and CAARS-S-SR showed low sensitivities of 57.1 and 70.6%. A high number of false negative results (NPV ASRS: 89.5%; CAARS-S-SR: 92.3%) indicates underreporting of ADHD symptoms. Sensitivity improved at lower cut-off (ASRS ≥ 11; CAARS-S-SR ≥60) or with a combination of both instruments at lower cut-offs. Area Under the Curve (AUC) for the combination of ASRS and CAARS-S-SR was superior to the AUCs of the single questionnaires. - Conclusions - Underreporting of ADHD symptoms in ASRS and CAARS-S-SR of AUD patients requires lower cut-off values to detect the majority of ADHD, albeit at the expense of an increased rate of false-positive results. Cut-off values should be adjusted to the clinical setting. Clinicians should take into consideration that a negative screening result does not necessarily imply absence of ADHD.